Active NPI
Joseph James Olson, LPCC
- Mental Health Counselor
- Duluth, MN
National Provider Identifier
1184504946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC5168
- Practice address
- 4849 Ivanhoe St
Duluth, MN 55804-1131 - Phone
- (218) 336-8955
- NPI assigned
- Sep 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC5168 | MN | Primary |
Addresses
Primary practice location
4849 Ivanhoe St
Duluth, MN 55804-1131
Mailing address
4849 Ivanhoe St
Duluth, MN 55804-1131
Phone (218) 336-8955
Other practice location 1
4000 W 9th St
Duluth, MN 55807-1563
Phone (218) 628-0237
Other practice location 2
714 W College St
Duluth, MN 55811-4906
Phone (218) 724-8815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC5168 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwood Children'S Home Society Inc | Past | Accepting new patients | |
| Northwood Children'S Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Duluth, MN
- NPI 1588720494
-
- Psychiatric Residential Treatment Facility
- Duluth, MN
- NPI 1851457758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1184504946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 IVANHOE ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558041131",
"telephone_number": "218-336-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 IVANHOE ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558041131",
"telephone_number": "218-336-8955"
}
],
"practiceLocations": [
{
"address_1": "4000 W 9th St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558071563",
"country_code": "US",
"telephone_number": "218-628-0237",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "714 W College St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558114906",
"country_code": "US",
"telephone_number": "218-724-8815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSON",
"first_name": "JOSEPH",
"middle_name": "JAMES",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC5168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.